Dignity Health int cme Sse ignity ang eh ales 83 St. Mary Medical Center xn te MEDICAL STAFF February 6,2019 Dear Medical Staff Member: Itis with sadness thatthe Medical Executive Committee writes to advise you that we have initiated the ‘Ad Hoe Dispute Resolution Committee Process as per our Medical Staff Bylaws section, 104. The Medical Stas dispute with Administration consists of the following: |, SMMC Administration has refused to discuss with Medical Staff leaders the sources of clinics services that are to be provided at SMMC through contracts as is required by The Joint Commission, Leadership Standard LD.04,03.09. Such resal prevents the Medical Suff from discharging its rights of self governance as identified in Section 2282.5 ofthe California Business and Professions Code. 2, SMMC Administration has initiated steps to terminate existing clinical services contracts and to initiate altemative contracts in retaliation for Medical Staff leaders’ advocacy for improved patient protection and peer review policies and procedures at SMMC, in violation of Section 1278 ofthe California Health and Safety Code. Such actions violate the Medical Staff's rights of sll: ‘governance as provided in Section 2282.5. 3, SMMC Administration has taken steps to terminate contract arrangements with key members of ‘Medical Staff leadership (.e. Vice Chief of Staff) so ast interfere with the Medical Sta's right to select its leadership as provided in Section 2282.5, referenced above, In view ofthis dispute, the Medical Executive Committee has asked the Board to direct SMMC ‘Administration to take no futher steps to terminate clinical services contracts, or to allow such contracts to expire, until the dispute is esolved, ‘The Medical Executive Committee has voted to suspend enforcement of Section 4.8.4 ofthe Medical Staff Bylaw, relating tothe status of members’ Medical Staff membership and clinical privileges in the ‘event ofa termination oF expiration of contrac arrangements.‘St. Mary Medical Center Medical Stat February 6,2019, At this difficult time, the members ofthe Medical Executive Committee ask for your support and patience as we work through this process. Please know that we will keep you appraised of ‘developments in this regard, but please contact any one ofus ifyou have questions, Thank you. Say CaALL Dough Wierd, MD. Chto ut Setriw f PLM Bertram E. Sohl, MD. Immediate Past Chief of Staff Laura Russell, M.D, Chairperson, Department of Anesthesiology iti epee terse, Deprinent of Medicine HM. H. Lrneraiul(D/€d, aii Enaian, MD. Chaipgpon Deptt of bse & Gels MD. 3, Department of Radiology MD. (Graduate Medical Education Representative CC. California Medical Association Gregory Vanley, MD. ETL, ‘Brian Fong/ M.D. Be Fle Ate Ven. red Medicine vi Ds Vice Chairperson, Department of Medicine a ee Nie Wore. .D. = Department of Pediatrics i Alan Eribaut tof Sungery Credentials Commitee & IDP Committee Chief of Staff Appointee (ee. ‘= Pathology Representative _> rico Heibron, J, MD. ‘Chairperson, Medical Staff Peer Review Committee